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Page 1 <br /> Work Activity Work Order B,B,�o1, ,:4, <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 6HJI2013 <br /> Fund qoi Account 5 Program Function Activity <br /> Program UT3473 3 3 <br /> TIIIB CONVERT.75 INCH 2216 P�NE ST UT3473: ' <br /> WOfk Ofdef NO 201312T0 PfOjBCf Activity Type CORRECTIVE MAINTI=NANCE StetUS CL <br /> Status 6A3I2013 TItTI@ 73:16 Original WO Billing _—_— <br /> Customer Infortnation Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No ��ry <br /> State Z�p <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext __ -- <br /> Second Phone ( > • Ext <br /> E-Mail Address – <br /> Problem Information <br /> Address yZ�g Street pINEST <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTFIER OTHER Date Recauested <br /> Requested By Related I�equest <br /> Agency <br /> Initialed From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information Estimated Hours <br /> Dept Priority <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ ___ To Be Comp Date ___ <br /> SchedutedDate _ ScheduledTime �'CRO�II�� <br /> Route Route Sequence E� <br /> Comments <br /> Action Taken CONVERT.751NCH CUR�STOP T0.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HW HUSBY,LANCE J. JOb COS1111fOff118�I0f1(Y;N) <br /> Start Date I � Time ___ Date Completed �izy2ol� Permit No <br /> Completed By <br /> — Time Foilow Up? <br />